Entity Information. During the Account registration process for entities, you must provide the Platform and/or Zero Hash with information and documentation that we request for the purpose of establishing and verifying your entity information (“Entity Information”). In addition, as a condition to accessing and using the Services, you must authorize Business (if applicable) to share your Entity Information with Zero Hash and ZHLS pursuant to the, if applicable, Cryptocurrency Platform Agreement, incorporated herein by reference. Entity Information may include, but is not limited to, the name, email address, phone number, date of birth, and taxpayer identification number of each of your beneficial owners or controlling persons, in addition to your Employer Identification Number and incorporation documents, letters of good standing, or other corporate information and documentation as applicable and requested by us. Entity Information will be retained by us at our discretion and may be made available to any governmental authority or self-regulatory organization upon reasonable request in accordance with Applicable Laws. You agree to provide accurate, current, and complete Entity Information. Herein, Personal Information and Entity Information shall collectively be referred to as “Background Information”.
Entity Information. Entity Name: Entity EIN/TIN: Entity Filing Status (select one): Entity has never completed a Doing Business Data Form. Fill out the entire form. Change from previous Data Form dated . Fill out only those sections that have changed, and indicate the name of the persons who no longer hold positions with the entity. No Change from previous Data Form dated . Skip to the bottom of the last page. Entity is a Non-Profit: Yes No Entity Type: Corporation (any type) Sole Proprietor Joint Venture Other (specify): LLC Partnership (any type) Address: City: State: Zip: Phone : Fax : E-mail: Provide your e-mail address and/or fax number in order to receive notices regarding this form by e-mail or fax.
Entity Information. Entity Name: Entity EIN/TIN: Entity Filing Status (select one): Entity has never completed a Doing Business Data Form. Fill out the entire form. Change from previous Data Form dated . Fill out only those sections that have changed, and indicate the name of the persons who no longer hold positions with the entity. No Change from previous Data Form dated . Skip to the bottom of the last page. Entity is a Non-Profit: Yes No Entity Type: Corporation (any type) Sole Proprietor Joint Venture Other (specify): LLC Partnership (any type) Address: City: State: Zip: Phone : Fax : E-mail: Provide your e-mail address and/or fax number in order to receive notices regarding this form by e-mail or fax. Please fill in the required identification information for each officer listed below. If the entity has no such officer or its equivalent, please check "This position does not exist." If the entity is filing a Change Form and the person listed is replacing someone who was previously disclosed, please check "This person replaced..." and fill in the name of the person being replaced so his/her name can be removed from the Doing Business Database, and indicate the date that the change became effective. Chief Executive Officer (CEO) or equivalent officer This position does not exist The highest ranking officer or manager, such as the President, Executive Director, Sole Proprietor or Chairperson of the Board. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CEO: on date: Chief Financial Officer (CFO) or equivalent officer This position does not exist The highest ranking financial officer, such as the Treasurer, Comptroller, Financial Director or VP for Finance. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former CFO: on date: Chief Operating Officer (COO) or equivalent officer This position does not exist The highest ranking operational officer, such as the Chief Planning Officer, Director of Operations or VP for Operations. First Name: MI: Last: Office Title: Employer (if not employed by entity): Birth Date (mm/dd/yy): Home Phone #: Home Address: This person replaced former COO: on date: Please fill in the required identification information for all individuals who, through stock shares, partnership agreements or other means, own or control 10% or more of the entity. If no ind...
Entity Information. Please contact RCIPA, Inc. immediately if any Entity information changes. This includes, for example, a change of address, new practice locations, new billing contact person, new telephone numbers, change of name or the addition of an assumed name.
Entity Information. (a) Name of Entity:
Entity Information. A. Name BUSINESS NAME PROPOSED TO BE DISPLAYED IN THE ODVA ROSTER OF LICENSED VENDORS AT XXX.XXXX.XXX AND OTHER PUBLIC LISTS OF ODVA PRIMARY WEB SITE ADDRESS FOR THIS BUSINESS URL OF BUSINESS MOST CLOSELY RELATED TO ODVA TECHNOLOGIES
Entity Information. For a Corporation or entity other than a Trust (Insert names and addresses below or attach a list)
Entity Information. The Borrower’s jurisdiction of organization is the State of Delaware; the name of the Borrower as listed in the public records of its jurisdiction of organization is Approach Resources Inc.; and the organizational identification number of the Borrower in its jurisdiction of organization is 3568006 (or, in each case, as set forth in a notice delivered to the Administrative Agent pursuant to Section 8.01(k) in accordance with Section 12.01). Each Restricted Subsidiary’s jurisdiction of organization, name as listed in the public records of its jurisdiction of organization and organizational identification number in its jurisdiction of organization is stated on Schedule 7.14 (or as set forth in a notice delivered pursuant to Section 8.01(k)).
Entity Information. Entity Name: Entity EIN/TIN: Entity Filing Status (select one): Entity has never completed a Doing Business Data Form. Fill out the entire form. Change from previous Data Form dated . Fill out only those sections that have changed, and indicate the name of the persons who no longer hold positions with the entity. No Change from previous Data Form dated . Skip to the bottom of the last page. Entity is a Non-Profit: Yes No Entity Type: Address: City: Phone: Corporation (any type) Sole Proprietor Joint Venture Other (specify): State: Fax: LLC Zip: Partnership (any type) E-mail: Provide your e-mail address and/or fax number in order to receive notices regarding this form by e-mail or fax.
Entity Information. The name of the filing entity is: Wildcat Spider, LLC State the name of the entity as currently shown in the records of the secretary of state. If the amendment changes the name of the entity, state the old name and not the new name. The filing entity is a: (Select the appropriate entity type below.) ☐ For-profit Corporation ☐ Professional Corporation ☐ Nonprofit Corporation ☐ Professional Limited Liability Company ☐ Cooperative Association ☐ Professional Association ☒ Limited Liability Company ☐ Limited Partnership The file number issued to the filing entity by the secretary of state is: 801198769 The date of formation of the entity is: November 30, 2009 Amendments
